OrganizationActive
Lake Elmo Pharmacy
NPI 1710012646 · Pharmacist · Lake Elmo, MN
Lake Elmo Pharmacy is a Pharmacist organization in Lake Elmo, MN (NPI 1710012646).
Provider details
- NPI number
- 1710012646
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Nicholas Rich, Pharmacist(651) 773-0889
- License
- 2611044 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11240 Stillwater Blvd N
Lake Elmo, MN 55042-9640
Phone: (651) 773-0889
Street-level locationGet directions
Mailing address
11240 Stillwater Blvd N
Lake Elmo, MN 55042-9640
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Elmo Pharmacy's NPI number?
- Lake Elmo Pharmacy's National Provider Identifier (NPI) is 1710012646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Elmo Pharmacy?
- Lake Elmo Pharmacy is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Lake Elmo Pharmacy located?
- Lake Elmo Pharmacy's practice location on file with NPPES is 11240 Stillwater Blvd N, Lake Elmo, MN 55042-9640.
- What is Lake Elmo Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Lake Elmo Pharmacy is (651) 773-0889.
- Who is the authorized official for Lake Elmo Pharmacy?
- The authorized official listed on Lake Elmo Pharmacy's NPPES record is Nicholas Rich, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Elmo Pharmacy's NPI active?
- Yes — Lake Elmo Pharmacy's NPI (1710012646) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.